An estimated 54 million Americans currently suffer from debilitating arthritis. Patients who have exhausted conservative measures can be subject to chronic pain and resort symptomatic management with anti-inflammatories, acetaminophen, opioids. Cannabidiol (CBD) is a non-psychoactive cannabinoid that has shown promise in preclinical studies reduce inflammation associated The purpose of this study was explore patient perceived effects cannabidiol on symptoms arthritis.A novel anonymous...

<h3>Importance</h3> To help prevent surgical site infections (SSIs), recommendations by a national organization led to implementation of mandatory operating room policy in large multicenter health care required use disposable perioperative jackets. <h3>Objective</h3> assess whether the jackets is associated with incidence SSIs. <h3>Design, Setting, and Participants</h3> Surgical infection data for patients undergoing clean procedures were retrospectively reviewed from 12 hospitals during...

Background: Anterior cruciate ligament (ACL) reconstruction before 18 years of age has been linked with an increased risk for failure when the graft diameter is &lt;8 mm. Purpose/Hypothesis: The purpose this study was to determine whether autologous hamstring size can be reliably predicted use preoperative magnetic resonance imaging (MRI) measurements. We hypothesized that average multiple axial cross-sectional area MRI measurements semitendinosus tendon and gracilis would alone accurately...

Objective: To evaluate whether the implementation of a geriatrics-focused orthopaedic and hospitalist comanagement program can improve perioperative outcomes decrease resource utilization. Design: A retrospective chart review study was conducted before after program, based on American Geriatrics Society (AGS) AGS CoCare:Ortho. Setting: large urban, academic tertiary center, located in greater New York metropolitan area. Participants: Patients 65 years older hospitalized for operative hip...

Immediate-use steam sterilization (IUSS), formerly termed "flash" sterilization, has been historically used to sterilize surgical instruments in emergency situations. Strict guidelines deter its use, as IUSS theorized increase the risk of site infections (SSIs), leading increased health-care costs and poor patient outcomes. We sought examine association between use rate orthopaedic SSIs.The cases 70,600 patients who underwent surgery-total knee or hip arthroplasty, laminectomy, spinal...

Patient-centered medicine is becoming the main focus of many healthcare systems, and Hospital Consumer Assessment Healthcare Providers Systems (HCAHPS) survey a tool used to track patient satisfaction. In this study, we evaluate HCAHPS scores in orthopaedic surgery inpatients before after implementation resident-guided rounding protocol. Analyses surveys for 154 surgical at one community hospital were compared 6 months initiative. Specific questions analyzed using top box, mean, positive...

With many preventable causes of surgical site infections (SSIs) identified, the effect operating room (OR) size on SSI rates has not been assessed. This study investigated OR incidence SSIs for orthopaedic procedures.SSIs remain a common complication within perioperative realm. Responsible increasing length hospitalization and costs, result in decreased quality life patients.A retrospective review 11,163 patients who underwent surgery-including total knee hip arthroplasties, laminectomies,...

To identify the time to return play (RTP) and evaluate performance level in wide receivers National Football League following anterior cruciate ligament (ACL) reconstruction.A total of 29 who underwent ACL reconstruction between 2013 2017 met inclusion criteria were retrospectively identified reviewed. For each player, a matched control with similar demographics was compare various in-game measurements seasons played.Of that criteria, 9 (31%) did not RTP regular season game reconstruction....

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey has received increased attention to determine which demographics may influence patient satisfaction after Total Hip Knee Arthroplasty. purpose this study was evaluate the various effects that patient-specific factors, medical comorbidities, had on satisfaction. Two thousand ninety-two patients underwent lower extremity total joint arthroplasty at our institution between 2014 2018. Nine hundred twenty-three...

Cases: Two elderly women with significant medical comorbidities presented to a community hospital setting after new-onset generalized seizure activity while in bed without history of trauma. Both were diagnosed by computed tomography scan bilateral acetabular fractures. Owing altered mental status from postictal period, both unable be reliably assessed for pain, which resulted diagnostic delay. Conclusions: These cases highlight the importance proper secondary survey on mentally patients...

Objectives: The National Football League (NFL) has been under growing scrutiny from the public due to apparent rise in concussions and head injuries subsequent deleterious effects. In efforts address these concerns, NFL implemented a new “Helmet-lowering” rule prior 2018-2019 season. This is defined as “a foul if player lowers his initiate make contact with helmet against an opponent.” purpose of this paper was compare incidence players after implementation rule. Methods: injury data...

Early identification and treatment of Staphylococcus aureus (S. aureus) nasal colonization can reduce the risk prosthetic joint infection. The purpose this study was to evaluate patient-specific predictors for S. in total arthroplasty patients aid preoperative screening protocols. A 2,147 who were preoperatively screened retrospectively reviewed. Factors analyzed consisted procedure type, primary diagnosis, gender, ethnicity, body mass index, presence chronic obstructive pulmonary disease,...

Ischial avulsion fractures classically occur in the pediatric population and are relatively uncommon. These injuries treated conservatively; however, cases where there is greater than 2 cm of displacement, surgical intervention recommended. In some cases, displaced either misdiagnosed or proper treatment neglected, patients who transition into adulthood left with chronic nonunions that can become a source pain disability. Here we present technique for ischial fracture nonunion excised,...

Introduction: The supercapsular percutaneously assisted total hip (SuperPATH) approach and technique are a relatively new minimally invasive procedure for replacement. theoretical benefits include muscle sparing, no precautions, smaller incision, decrease in blood loss, relative familiar joint surgeons. aim of our study was to assess the early results learning curve using SuperPATH technique. Methods: A retrospective cohort analysis first 28 replacements by single surgeon performed. assessed...